Determination of Most Frequent Emergencies in Patients with Fixed and Removable Orthodontic Appliances at Tertiary Care Dental Hospital

OBJECTIVES: To determine the frequency of emergencies in patients with fixed and removable orthodontic appliances at tertiary care dental hospital. METHODOLOGY: A questionnaire was designed for this descriptive cross-sectional study to be filled by the clinician (L3/L4 FCPS resident) at the end of addressing every orthodontic emergency. Sampling was done under consecutive non-probability protocols. Descriptive statistics were applied to determine the frequency of different orthodontic emergencies, and Pearson’s chi-square test was applied to determine association of emergencies with gender and etiology of emergency (patient related vs operator related). Data was analyzed on SPSS version 20. RESULTS: A total of 175 patients reported with orthodontic emergencies. The sample comprised 38.3% males and 61.7% females. Most frequent orthodontic emergency reported was deboned brackets in fixed appliances, while the most common emergency in removable appliances was traumatic PNAM. A statistically significant association (Pearson’s Chi Square=4.74, Cramer’s V=0.165, p=0.029) was seen for removable and fixed appliance emergencies with males and females. CONCLUSION: Most frequent fixed appliance orthodontic emergencies were deboned brackets while for removable appliance emergencies were trauma due to PNAM. Emergencies with removable appliances were mostly due to the operator related factors, while in fixed appliances patient related factors were dominating.

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The Eastman Dental Hospital Education Centre team discuss life after graduating with a dental hygiene or dental therapy degree

Canalis sinuosus approximation on an impacted maxillary canine: a case report

Objectives: This case report is aimed to report the finding of canalis sinuosus on an impacted maxillary canine using cone beam computed tomography (CBCT) examination. Case Report: A 21-year-old male was referred from orthodontic department to radiology department UNPAD Dental Hospital for CBCT to determine the treatment of malalignment asymptomatic maxillary canine. The case revealed the presence of canalis that was identified as a canalis sinuosus, a branch of the anterior superior alveolar nerve that rarely known by a practitioner, at the apex of impacted right maxillary canine. Conclusion: The information of this anatomical variation is important for professionals due to damage that may be caused during treatment. The use of advanced imaging examination is recommended to acknowledge the individual anatomical variation before determining the proper treatment planning.

Distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga

Objectives: This study aims to find out the distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga based on the origin of referral, specialist field, age and gender. Materials and Methods: This descriptive research is using the total sampling method. Secondary data from the medical records of any referral patients for CBCT-3D examination at Dental Hospital Universitas Airlangga from July 2015 to March 2020 were included in this study. Furthermore, data references were tabulated and presented in the form of a pie chart. Results: The distribution of CBCT-3D examination referrals at Dental Hospital Universitas Airlangga was as high as 323 (77.64%) coming from within the hospital and as much as 93 (22.36%) from outside of the hospital. Based on the dental specialties who made the referral, six of seven departments have referred their patients for CBCT examination with varying proportions and indications. The distribution of referrals was also divided into gender (male or female) and several age categories based on the Indonesian Ministry of Health, such as toddlers (ages 0-5 years), children (ages 5-11 years), adolescents (ages 12-25 years), adults (ages 26-45 years), elderly (ages 46-65 years) and seniors (over 65 years). Conclusion: Referrals for CBCT-3D radiography examinations at Dental Hospital Universitas Airlangga are mostly from within the hospital, from the Department of Oral and Maxillofacial Surgery. Female patients and the elderly (46 years and older) were found to be the most frequently referred.

Pediatric Dental Emergency Pattern and Dental Care Provided during COVID-19 Pandemic Lockdown at a Tertiary Care Center in Kathmandu, Nepal

Introduction: Pediatric dental management is difficult in its own way which was even more challenging during COVID-19 outbreak and lockdown period. Constrained dental providing clinics and hospitals severely compromised the pediatric dental needs and services. Objective: The aim of this study was to describe pattern of dental emergencies encountered and services provided to the pediatric patients visiting a dental hospital during the first lockdown period in Kathmandu, Nepal. Methods: A cross sectional study was done from 24 March 2020 to 21 July 2020 among the pediatric patients who visited dental hospital during lockdown. Data was collected from questionnaire and dental case history sheet, and statistically analyzed in Statistical Package of Social Sciences (SPSS) version 20. Results: Of the total 172 pediatric patients of mean age 8.3± 2.60 years, majority were males (59.3%) and of 6-12 age group (76.2%). Major complain was mobile/retained teeth (38.4%) and most common diagnosis was exfoliating mobility (23.3%). According to American Dental Association (ADA, 2020) guidelines, urgent dental care (46.5%) followed by non-emergency dental care (43.6%) were mostly found. The predominant procedures were emergency (68.6%) and least was elective (9.3%) and treatment given to majority was extraction (51.8%).There was a statistically significant association between age group and pediatric dental care (ADA). Conclusions: The findings of this study regarding dental emergency encountered and definitive treatment received even during pandemic lockdown can be helpful in finding out how dental care was provided and can be applicable in similar future pandemics.

Psychological Impact of Covid-19 on Dental Surgeons and Students

Background: Since the start of January 2020, COVID-19, has been a serious health risk concerning the wellbeing and welfare of people worldwide. Health care workers are prone to more psychological problems because of their direct contact with infectious patients. Owing to the disruption of educational activities worldwide, stress was common among students. The objective of this study was to determine the psychological impact of COVID-19 pandemic on dental surgeons and dental students. Methods: The survey was conducted at Islamic International Dental Hospital form February 2021 to July 2021. A total of 400 questionnaires were sent to students and dental surgeons, however 340 completely filled questionnaires were returned. Questionnaire using the Depression Anxiety Stress Scale (DASS-21) was used to assess the psychological influence. Data was compiled and independent sample t -test and Pearson’s correlation were applied using the Statistical Package for Social Sciences SPSS version 23 to determine difference of means considering p<0.05 as cut off for significance. Results: The means of stress score, anxiety score and depression were 2.24+0.5, 3.56 +0.06 and 2.83+0.06 respectively. Pearson’s correlation among the dimensions of DAS scale showed that Depression, Anxiety and Stress were positively and significantly correlated with each other. Conclusion: There were high levels of Depression, Anxiety and Stress among dental students during COVID-19 Pandemic.

CBCT of maxillary central incisor with internal resorption: a case report

Objectives: The aim of this case report is to report the radiographic features of an internal resorption in maxillary central incisor and to emphasize the benefits of CBCT in this case. Case Report: A 14-year-old male went to Universitas Padjadjaran Dental Hospital with a discoloration of his fracture upper anterior teeth. The anamnesis revealed that the patient had history of a fall in about 6 years ago. Patient didn’t complain about pain when examination happened and wanted to have his teeth treated. Periapical radiograph showed an internal resorption in maxillary central incisor. Cone beam computed tomography (CBCT) was used to see other findings before determining the treatment plan. Conclusion: Internal resorption gives a characteristic appearance on the radiograph. CBCT modalities provide more information than conventional ones so that the use of this modality is not only to establish a diagnosis, but also can be used in determining the right treatment plan.

Association Between Depression and Dissatisfaction with Complete Dentures

Objective: The aim of this study was to find out the role of depression in complete denture dissatisfaction and to determine frequencies of depression among the satisfied and dissatisfied patients. Study design: A cross sectional survey was carried out at Department of Prosthodontics, De’Montmorency College of Dentistry. Punjab Dental Hospital. The sample size was 80 edentulous patients having adequate maxillary and mandibular ridges. Methodology: The patients selected would be wearing complete dentures for the first time. All dentures were carefully designed. A socio-demographic form and depression rating questionnaire was filled by every participant involved in the study. After six months, satisfaction or dissatisfaction with the provided complete denture set was assessed through a separate questionnaire. The patients’ opinion concerning satisfaction with their dentures and depression was recorded and statistical analysis done. The results showed that 36.25% depressed versus 63.75% non-depressed. 28.75% were dissatisfied versus 71.25% satisfied. Conclusion: It was concluded that depression played a significant role in decreasing the satisfaction rating in first time denture wearers. Keywords: Depression, dissatisfaction, complete dentures,

Impact of Job Stress on Employee Performance among Paramedical Staff during Covid-19

Objective: The study aimed to explore the job stress on the performance of paramedical staff working in dental hospital during Covid-19 pandemic Methodology: The study conducted on 75 participants from Paramedical staff at tertiary care teaching hospital using convenient sampling technique. Currently employed paramedical staff was the participant of interest. All basic demographic information of each variable (age, gender, qualification, experience, and residency) was also recorded. Analysis was carried out by applying ANOVA test. Results: The results of One-way ANOVA revealed that there was a negative significant difference in the job performance of paramedical staff due to the stress they are facing in their institution (F= 15.74, P>.001). Conclusion: Paramedical staff is facing stress due to insecurity of job which is effecting their job performance. Keywords: Covid-19, Corona virus, paramedical staff, dental college

Multiple Clinical Findings on The Tongue: Variants of Normal or Pathologic Condition? (A Case Report)

Various normal and pathologic findings might occasionally be found on the tongue and might confuse some patients and clinician due to its atypical presentation. This case report aimed to present a case report of multiple oral findings related to variants of normal and pathological findings on the tongue: geographic tongue, fissured tongue, and central papillary atrophy. A 53-year-old male patient came to Universitas Indonesia Dental Hospital for a dental check-up. Objective examination in the tongue showed depapilated areas surrounded by keratinized lining in the ventral and lateral left and right area of the tongue, multiple fissures in all over the dorsum of the tongue, and an ovoid redness area in the middle of 2/3 posterior dorsum part of the tongue. All those findings were asymptomatic. Those clinical findings were diagnosed as geographic tongue, fissured tongue, and central papillary atrophy. This case presents unique multiple variants of normal and pathological findings in the tongue. It is important to an oral health professional to have knowledge and ability to determine normal anatomy, variants of normal and pathological lesions. Patients should be informed and educated about oral mucosa normal variations and related clinical findings so they would not develop unnecessary anxiety. Keywords: central papillary atrophy, fissured tongue, geographic tongue, normal variations